This case reports a patient with 16 retained deciduous teeth along with selleck inhibitor multiple permanent teeth out of which some were erupted, some impacted and embedded succedaneous teeth, and some supernumerary teeth. What was most astonishing is the fact that there was no known local or systemic disease as the patient was asymptomatic. CASE REPORT A 25-year-old adult reported with a chief complaint of irregularly placed teeth that were small in size and wanted to get them corrected chiefly for esthetic reasons. A family history revealed that no other member in his family was having any similar problem. Past medical history given by patient was non-significant and patient appeared to be well nourished with moderate height and built.

On intra-oral examination, it was found that patient had 16 retained primary teeth, with all permanent first and second molars erupted [Tables [Tables11 and and2].2]. A few other permanent teeth (14, 15, 21, 31, and 33) were also observed. Tooth number 15 and 33 were observed erupted ectopically [Figure 1]. Tooth number 31 was observed with mamelons on its incisal edges [Figure 2]. All the teeth present in oral cavity had mild attrition with slight discoloration most likely owing to dental fluorosis [Figure 3]. Gingival health of the patient was unremarkable and had a normal palatal arch.

Table 1 Teeth present in the oral cavity Table 2 Impacted permanent teeth in the jaws of the patient Figure 1 Intra-oral picture of maxillary dentition with multiple retained primary teeth and ectopically erupting tooth number 15 Figure 2 Intra-oral picture of the mandibular dentition with multiple retained primary teeth and ectopically erupting tooth number 33 along with mamelons on tooth number 31 Figure 3 Irregularly placed teeth showing discoloration Patient was advised for Orthopentograph (OPG), skull, and chest X-ray, and full mouth intra-oral periapical (IOPA) radiographs. Skull and chest X-ray did not reveal any significant finding. OPG showed multiple impacted and embedded permanent teeth with two supernumerary teeth, located one on each side of the mandible [Figure 4]. No evidence of cysts, odontoma, or other abnormalities was noted on the radiograph. IOPA radiographs further revealed a few impacted teeth with malformed crown and root formation [Figure 5]. Also, teeth number 38 GSK-3 and 48 were observed to have mesio-angular impaction. Figure 4 Panoramic radiograph of the patient showing multiple retained deciduous teeth along with multiple impacted succedaneous teeth.